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ORIGINAL INVESTIGATION HEALTH CARE REFORM Physician and Pharmacist Collaboration to Improve Blood Pressure Control Barry L. Carter, PharmD; Gail Ardery, PhD; Jeffrey D. Dawson, ScD; Paul A. James, MD; George R. Bergus, MD; William R. Doucette, PhD; Elizabeth A. Chrischilles, PhD; Carrie L. Franciscus, MA; Yinghui Xu, MS Background: Studies have demonstrated that blood pres- 4.5 mm Hg in the control group and 20.7/9.7 mm Hg in sure (BP) control can be improved when clinical phar- the intervention group (P .05 for between-group sys- macists assist with patient management. The objective tolic BP comparison). The adjusted difference in sys- of this study was to evaluate if a physician and pharma- tolic BP was −12.0 (95% confidence interval [CI], −24.0 cist collaborative model in community-based medical of- to 0.0) mm Hg, while the adjusted difference in dia- fices could improve BP control. stolic BP was −1.8 (95% CI, −11.9 to 8.3) mm Hg. The 24-hour BP levels showed similar effect sizes. Blood pres- Methods: This was a prospective, cluster randomized, sure was controlled in 29.9% of patients in the control controlled clinical trial with clinics randomized to a con- group and in 63.9% of patients in the intervention group trol
JAMA Internal Medicine – American Medical Association
Published: Nov 23, 2009
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